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General NPI Number Information
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NPI Number | 1477035368
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Entity Type | Organization
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Legal Business Name | RELAXING RESOURCES
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 22443 SE 240TH ST STE 206
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-5879
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Country | US
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Telephone | 425-358-3070
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Fax | 425-413-6797
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Provider Business Mailing Address
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Address Line | 22443 SE 240TH ST STE 206
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-5879
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Country | US
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Telephone | 425-358-3070
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Fax | 425-413-6797
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | MRS. CATHERINE ANGEHRN
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Credential |
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Telephone | 425-358-3070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 602602208
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License Number State | WA
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